description: Child encounter representing a distinct period or event within the overall hospitalization. In most cases it denotes care by a specific clinical unit (e.g., ER, internal medicine ward, orthopedics), but it MAY also represent a significant event during care (e.g., emergency surgical intervention, resuscitation, specialist consultation, imaging procedure). When representing care by a clinical unit, this encounter SHALL reference the top-level ILHDPEncounterHospitalization via partOf. When representing a significant event, this encounter SHALL reference either the top-level ILHDPEncounterHospitalization or the relevant ILHDPEncounterInpatientCareSegment via partOf. It is recommended to link significant-event encounters to the segment representing the responsible clinical unit. This profile captures both the clinical unit providing care (serviceProvider) and the nursing unit/physical location (location). A new segment encounter SHALL be created when the clinical unit (serviceProvider) changes (e.g., transfer). If only the nursing unit/bed changes, a new encounter SHALL NOT be created; update location and/or location:nursing-unit instead. The choice of what constitutes a 'significant event' is left to the organization; however, to avoid overwhelming consumers, create event segments only for clinically meaningful events where associating participants and artifacts (Conditions, Observations, Medications, Procedures, etc.) to that event is important.
package_name: il.hdp.fhir.r4
derivation: constraint
name: ILHDPEncounterInpatientCareSegment
type: Encounter
elements:
  diagnosis:
    index: 35
    elements:
      condition:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-condition', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-condition']
        index: 36
      use: {index: 37}
      rank: {index: 38}
    slicing:
      rules: open
      discriminator:
      - {path: use, type: pattern}
      min: null
      slices:
        admission:
          match:
            use:
              coding:
              - {code: AD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Admission diagnosis
            array: true
            index: 39
            elements:
              condition: {index: 40}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: AD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 41
            required: [use]
        comorbidity:
          match:
            use:
              coding:
              - {code: CM, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Comorbidity diagnosis
            array: true
            index: 42
            elements:
              condition: {index: 43}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: CM, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 44
            required: [use]
        discharge:
          match:
            use:
              coding:
              - {code: DD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
          schema:
            short: Discharge diagnosis
            array: true
            index: 45
            elements:
              condition: {index: 46}
              use:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: DD, system: 'http://terminology.hl7.org/CodeSystem/diagnosis-role'}
                index: 47
            required: [use]
  meta:
    elements:
      security:
        index: 0
        slicing:
          rules: closed
          description: ILHDP codes only
          discriminator:
          - {path: system, type: value}
          min: 1
          slices:
            HDP:
              match: {system: 'http://fhir.health.gov.il/cs/il-hdp-information-buckets'}
              schema:
                short: HDP information bucket
                binding: {strength: required, valueSet: 'http://fhir.health.gov.il/ValueSet/il-hdp-information-buckets'}
                _required: true
                index: 1
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://fhir.health.gov.il/cs/il-hdp-information-buckets'}
                    index: 2
                  code:
                    pattern: {type: Code, value: encounterInformation}
                    index: 3
                required: [system, code]
    required: [security]
  serviceProvider:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
    index: 61
  episodeOfCare:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-episode-of-care', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-episode-of-care']
    index: 18
  reasonCode:
    index: 31
    slicing:
      slices:
        moh-reason-code:
          match: {}
          schema: {index: 32}
          max: 0
  type:
    index: 9
    slicing:
      slices:
        face-to-face:
          match: {}
          schema: {index: 10}
        without-patient-present:
          match: {}
          schema: {index: 11}
          max: 1
        doctor-to-doctor-consultation:
          match: {}
          schema: {index: 12}
          max: 1
        hospitalization:
          match: {}
          schema:
            short: Hospitalization encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: hospitalization-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            index: 13
          min: 0
          max: 0
        inpatient-care-segment:
          match: {}
          schema:
            short: Inpatient care segment encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: inpatient-care-segment-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            _required: true
            index: 14
          min: 1
          max: 1
        community-hmo-ambulatory:
          match: {}
          schema:
            short: Community/HMO ambulatory encounter type
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: community-hmo-ambulatory-hdp, system: 'http://fhir.health.gov.il/cs/il-core-encounter-type'}
            index: 15
          min: 0
          max: 0
  participant:
    index: 20
    elements:
      individual:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
        index: 21
    required: [individual]
    slicing:
      slices:
        primary-performer:
          match: {}
          schema:
            index: 22
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 23
        consultant:
          match: {}
          schema:
            index: 24
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 25
            required: [individual]
        reffering-practitioner:
          match: {}
          schema:
            index: 26
            elements:
              individual:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-practitioner', 'http://fhir.health.gov.il/StructureDefinition/il-core-practitioner-role', 'http://fhir.health.gov.il/StructureDefinition/il-core-related-person', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-practitioner-role', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-related-person']
                index: 27
            required: [individual]
  serviceType: {index: 16}
  classHistory: {index: 8}
  status: {index: 5}
  class: {index: 7}
  length: {index: 30}
  identifier: {index: 4}
  hospitalization:
    index: 48
    elements:
      origin:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
        index: 49
      specialArrangement: {index: 50}
      destination:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://fhir.health.gov.il/StructureDefinition/il-core-organization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-organization']
        index: 51
      dischargeDisposition:
        binding: {strength: extensible, valueSet: 'http://fhir.health.gov.il/ValueSet/patient-release-type-moh'}
        index: 52
  period:
    index: 28
    elements:
      start: {index: 29}
  basedOn:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-service-request', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-service-request']
    index: 19
  partOf:
    type: Reference
    refers: ['http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-hospitalization', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-inpatient-care-segment']
    index: 62
  location:
    index: 53
    elements:
      location:
        type: Reference
        refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location']
        index: 54
      status: {index: 55}
      physicalType: {index: 56}
    slicing:
      rules: open
      discriminator:
      - {path: location, type: profile}
      min: 1
      slices:
        nursing-unit:
          match: {}
          schema:
            min: 1
            short: Nursing unit location
            array: true
            _required: true
            index: 57
            elements:
              location:
                type: Reference
                refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-location-nursing-unit', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-location-nursing-unit']
                index: 58
              status: {index: 59}
              period: {index: 60}
  subject:
    type: Reference
    refers: ['http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-patient']
    index: 17
  statusHistory: {index: 6}
  reasonReference:
    type: Reference
    refers: ['http://fhir.health.gov.il/StructureDefinition/il-core-condition', 'http://fhir.health.gov.il/StructureDefinition/il-core-immunization-recommendation', 'http://fhir.health.gov.il/StructureDefinition/il-core-observation', 'http://fhir.health.gov.il/StructureDefinition/il-core-procedure', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-condition', 'http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-observation']
    index: 33
    slicing:
      rules: open
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        patient-reported-chief-complaint:
          match: {}
          schema:
            short: Patient-reported chief complaint
            refers: ['http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-patient-reported-chief-complaint']
            type: Reference
            index: 34
          min: 0
          max: 1
package_version: 0.4.1
class: profile
kind: resource
url: http://hdp.fhir.health.gov.il/StructureDefinition/il-hdp-encounter-inpatient-care-segment
base: http://fhir.health.gov.il/StructureDefinition/il-core-encounter
version: 0.4.1
required: [serviceType, serviceProvider, location, participant, partOf, identifier, type, period]